Individual
MRS. LINDA W CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN CS
Contact information
Practice address
101 MAIN ST, SUITE #5, COOPERSTOWN, NY 13326
(607) 547-1130
(607) 547-1130
Mailing address
PO BOX 1102, 101 MAIN ST SUITE #5, COOPERSTOWN, NY 13326
(607) 547-1130
(607) 547-1130
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
291456
NY
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
291456
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161606008
EXCELLUS BCBS
—
01
—
387492
VALUE OPTIONS
—
Enumeration date
11/21/2006
Last updated
06/12/2008
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